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Steven Carp, M.D.

Answered Questions

Q:

Will Fraxel laser help with hyper pigmentation on my upper lip?

I had microdermabrasion done and then less than 8 hours later, I bleached the hair on my upper lip with cream bleach.  This was very foolish on my part.  I understand microdermabrasion can make the skin quite sensitive, and then that same night I applied cream bleach.  As a result of this, I have light hyper pigmentation on my upper lip.  Is this pigmentation superficial?  Will it fade?  Will a Fraxel Laser procedure help?  Cream bleaches for pigmentation don't work.  Please advise.

A:

Fractional laser resurfacing, especially CO2, will help many patients with hyperpigmentation.  However, you might also benefit from a prescription of 4% hydroquinone to help with pigment.

Skin Resurfacing

Q:

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I am 67 years old and had a triple bypass and a mitral valve repair for my heart.  I have degenerative arthritis and severe back pain from my oversized breasts. I am a size 48 DD - normal size for me was 36 C.  With my medical history and problems, am I eligible for breast reduction surgery?  Would there be a safety factor involved?

A:

 Based on the information you have provided you may be a candidate for a breast reduction.  With proper medical management your surgical risk may be very acceptable.

Breast Reduction

Q:

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Ten years ago I suffered from poor night vision and had eyelid surgery by an eye surgeon, not a plastic surgeon. He told me this wasn’t cosmetic surgery and I would need the surgery again in years to come. I now have scar tissue that is weighing down the corners of my eyes. I have red circled skin around the upper eyelids near my lashes. During the night when sleeping my eyes cake up in the corners. Can a good plastic surgeon correct this problem?

A:

It may be possible to address the problem you are experiencing.  If in fact you have excessive upper eyelid skin, this could result in such symptoms.  I would certainly recommend you have a consultation with a Board Certified Plastic Surgeon.

Eyelid Surgery

Q:

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I have been overweight my entire life and in the past year I have lost over 130 pounds. I eat right and exercise but my skin refuses to tighten up and reshape. I am wondering if there is a procedure to take care of my extra skin?

A:

Following significant weight loss, body contour surgery can address the remaining skin excess. Surgical removal of skin can be performed for the upper arms, trunk, and legs. These procedures are sometimes referred to as an arm lift, tummy tuck, body lift, or thigh lift. In addition, some patients benefit from facial procedures such as a neck lift. Each site has specific issues relating to the exact methods, risks, and recovery, so you should consult with a qualified ASAPS-member plastic surgeon in your area who can advise you on an approach to meet your specific needs.

Liposuction

Q:

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I am considering a photo-facial. I have mild sun damage with sunspots and some minor discoloration. I also have dark circles under my eyes. What is your opinion?

A:

A photo-facial can give improvement in fine lines and some pigmentation changes related to sun exposure. The dark circles under the eyes, however, may require other types of treatment. If you are in need of, or are looking for, more substantial improvement, then other treatments such as chemical peels or laser resurfacing might be better.

Skin Resurfacing

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